Individual provider Active NPI

Abigail Owens-Reichardt, LM

  • Midwife
  • Gainesville, FL
National Provider Identifier
1679044770
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
376 Issued in FL
Practice address
5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468
Phone
(352) 377-3879
Fax
(352) 478-0175
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 376 FL Primary

Addresses

Primary practice location

5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468

Mailing address

5310 NW 8TH Ave Ste 1
Gainesville, FL 32605-4468
Phone (352) 377-3879

Other identifiers 2

IdentifierTypeStateIssuer
106771600MedicaidFL
MW376OtherFLMIDWIFERY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
376FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Midwives Cooperative LLC Midwife CurrentSince Jul 28, 2024 Accepting new patients

Locations

5310 NW 8th Ave
Ste 1
Gainesville, FL 32605
Phone (352) 580-6573

2602 NW 6th St
Ste B
Gainesville, FL 32609
Phone (352) 377-3879

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1679044770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 NW 8TH AVE STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054468",
            "telephone_number": "352-377-3879",
            "fax_number": "352-478-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 NW 8TH AVE STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054468",
            "telephone_number": "352-377-3879",
            "fax_number": "352-478-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS-REICHARDT",
        "first_name": "ABIGAIL",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106771600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWIFERY LICENSE",
            "identifier": "MW376",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.